Justin Michael Doan

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

650 Tremont Ave SW
Massillon, OH 44647-6477

Phone

(330) 475-4641

NPI assigned

Nov 28, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1073389359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 TREMONT AVE SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476477",
            "telephone_number": "330-475-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 TREMONT AVE SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476477",
            "telephone_number": "330-475-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Diaz, APRN
• Ronda L Dicicco
• David R Didur, DO
• Kailyn Digiambattista
• Eleni Dimitriadis, MD
• Lilybeth Contreras Dobran, COTA
• Doctors Hospital Physician Services LLC
• Kelsey Ann Doering, OD
• Doherty DDS, and Paulus DDS LLC
• Shaun Patrick Doherty, DDS

• Personal Care Attendant in Massillon, OH
• Providers in Massillon, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.